The most common type of diabetes. It is often present for many months to years before the diagnosis is made and is often not diagnosed until complications appear. Development of Type 2 diabetes is multifactorial and includes; a genetic predisposition, sedentary lifestyle, obesity, age, a history of gestational diabetes, low HDL, elevated triglycerides, and race/ethnicity. It is the result of insulin resistance or insulin deficiency. Diagnostic criteria, as per the American Diabetes Association includes an A1C of 6.5% or greater, a fasting glucose of 126mg/dL or greater, a 2 hour post meal or oral glucose tolerance test with a finding of 200mg/dL or greater, OR classic symptoms of high glucose or hyperglycemic crisis with a glucose of 200mg/dL or greater. The ADA recommends that in the absence of unequivocal hyperglycemia that the results be confirmed by repeat testing.
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